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Contact Information

BROOKE A LEE, PHYSICAL THERAPIST A
1901 N. 13TH STREET
HERRIN, IL62948
 Phone: 618-942-3274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for BROOKE A LEE · (Female)

NPI Number 1093963142
Status Active
Credentials PHYSICAL THERAPIST A
Entity Individual
Enumeration date 09/03/2008
Last updated 09/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 160.003814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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